Demo Registration Form

To set up a course demo for your client, simply fill out the information below and we will do the rest. Your client will receive a one-page document with instructions on where and how to access the demo course(s). Please specify the course(s) you want your customer to demo.

If you need assistance or have additional questions, please contact our reseller support, Cheryl Rempel at serebra.reseller@serebra.com. Hours of operation are 7AM to 3PM EST.

SALES PERSON INFORMATION
Name
Phone ext.
E-mail
Company Name
CUSTOMER INFORMATION
Name
Phone ext.
E-mail
Company Name
COURSE INFORMATION
1) Course Title or ID Title: ID:
2) Course Title or ID Title: ID:
3) Course Title or ID Title: ID:
Demo Expiration (mm/dd/yyyy) / /
FORWARDING INFORMATION
Please send username & password directly to my client and CC me.
Please send username & password to me for forwarding to my client.
COMMENTS
Additional Comments
 

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